David J Parker, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

30772 Issued in CO

Practice address

11310 Huron St
Suite 100
Northglenn, CO 80234-3046

Phone

(303) 450-7435

Fax

(303) 450-7463

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455148800000",
    "number": "1003887597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11310 HURON ST",
            "address_2": "SUITE 100",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343046",
            "telephone_number": "303-450-7435",
            "fax_number": "303-450-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11310 HURON ST",
            "address_2": "SUITE 100",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343046",
            "telephone_number": "303-450-7435",
            "fax_number": "303-450-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2016-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "30772",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01307727",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kenneth Padilla Jr., RBT
• Lorie Palmer
• Plamen Panayotov
• Gage Ethan Papierski, MSW
• Leah Park
• Jaime Nicole Parks, BCBA
• Mayela Parra Morales
• Laura Passarelli
• Alexis Gabrielle Patience, OD
• Brandi Neva Patton, LCSW

• Family Medicine Physician in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.